| NPI | 1578729109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARKS Administrator 606-324-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363L00000X Nurse Practitioner | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2011-11-16 |